✦ LIBER ✦

Diagnostic agreement in patients with psychogenic movement disorders

✍ Scribed by Francesca Morgante; Mark J. Edwards; Alberto J. Espay; Alfonso Fasano; Pablo Mir; Davide Martino; on behalf of the DISMOV-SIN study group on psychogenic movement disorders

Publisher: John Wiley and Sons
Year: 2012
Tongue: English
Weight: 91 KB
Volume: 27
Category: Article
ISSN: 0885-3185
DOI: 10.1002/mds.24903

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background:

The reliability and applicability of published diagnostic criteria for psychogenic movement disorders (PMDs) have never been examined.

Methods:

Eight movement disorder and six general neurologists rated 14 patients diagnosed with PMD and 14 patients diagnosed with organic movement disorders. Raters provided a dichotomous judgment (i.e., psychogenic or organic) upon review of video‐based movement phenomenology and a category of diagnostic certainty based on the Fahn‐Williams and Shill‐Gerber criteria after accessing standardized clinical information. We measured interobserver agreement on the diagnosis and clinical certainty judgment of PMD.

Results:

In both groups of raters, agreements were “fair” on the video‐based dichotomous judgment, but improved to “substantial” after access to standardized clinical information. “Slight” to “poor” agreement was reached for the “probable” and “possible” categories of diagnostic certainty corresponding to both diagnostic criteria.

Conclusions:

📜 SIMILAR VOLUMES

Psychogenic movement disorders in childr

Psychogenic movement disorders in children

✍ Joseph Ferrara; Joseph Jankovic 📂 Article 📅 2008 🏛 John Wiley and Sons 🌐 English ⚖ 80 KB

## Abstract Psychogenic movement disorders (PMDs) are well characterized in adults, but childhood‐onset PMDs have not been extensively studied. We reviewed the medical records of children who were diagnosed in our clinic with PMDs since 1988 and identified 54 patients with PMDs, representing 3.1% o

Evaluation of clinical diagnostic criter

Evaluation of clinical diagnostic criteria for psychogenic movement disorders

✍ Holly Shill; Paula Gerber 📂 Article 📅 2006 🏛 John Wiley and Sons 🌐 English ⚖ 60 KB

Previous studies showed that there are certain features suggestive of a psychogenic disorder, and Fahn and Williams proposed criteria for psychogenic movement disorders. Data on the sensitivity and specificity of these criteria are lacking. We expanded on the Fahn and Williams criteria to create a n

Acupuncture for psychogenic movement dis

Acupuncture for psychogenic movement disorders: Treatment or diagnostic tool?

✍ Bart F. L. Van Nuenen; Marielle Wohlgemuth; Rudi E. Wong Chung; Wilson F. Abdo; 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 55 KB

## Abstract Psychogenic movement disorders are common in everyday neurological practice, comprising up to 25% of the patient population in movement disorders clinics. The diagnosis is often difficult, as is illustrated by the high proportion of patients with an organic neurological disease whose mo

Gait abnormalities in psychogenic moveme

Gait abnormalities in psychogenic movement disorders

✍ Jong Sam Baik; Anthony E. Lang 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 67 KB

## Abstract An abnormal gait is not uncommon in patients with medically unexplained neurological symptoms, including those with other psychogenic movement disorders (PMDs). Previous studies have not evaluated the gait characteristics of patients with a variety of PMDs and there are no reports compa

Psychogenic movement disorders in two ch

Psychogenic movement disorders in two children

✍ Sibel Özekmekçi; Hulya Apaydin; Burçak Ekinci; Cengiz Yalçinkaya 📂 Article 📅 2003 🏛 John Wiley and Sons 🌐 English ⚖ 52 KB

## Abstract Two schoolboys with diagnostic criteria for psychogenic movement disorder (PMD) are described: one with bizarre tremor of the right hand and a very slow and cautious gait, another with exaggerated trunk sway and collapses during standing and walking. © 2003 Movement Disorder Society

Clinical characteristics of 49 patients

Clinical characteristics of 49 patients with psychogenic movement disorders in a tertiary clinic in Turkey

✍ Sibel Ertan; Derya Uluduz; Sibel Özekmekçi; Günes Kiziltan; Turan Ertan; Cengiz 📂 Article 📅 2009 🏛 John Wiley and Sons 🌐 English ⚖ 457 KB 👁 1 views

## Abstract Patients admitted to movement disorders outpatient unit at a university hospital between January 2002 and June 2007 were screened for psychogenic movement disorders (PMDs). Out of 1,743 patients, 49 patients (2.8%), including four children, were diagnosed to have PMDs. Women to men rati